Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Claims Operations Lead - Audit & Process Excellence

Verda Healthcare

Verda Healthcare, Inc. is seeking an Assistant Director, Claim Operations in Huntington Beach, CA to oversee daily claims processing and reconciliation, ensuring CMS and state compliance while supporting audits and operational excellence. This leadership role partners with Claims Operations, Compliance, Finance, IT and delegated IPAs to optimize workflows, manage risk, and drive reporting and improvement initiatives. #J-18808-Ljbffr Verda Healthcare

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Claims Operations Lead - Audit & Process Excellence in Huntington Beach, CA vacancy
  • $146k - $180k

     ...by Lattice OS, an AI-powered operating system that turns thousands of...  ...ABOUT THE JOB Operations Leads & Managers work directly with...  ...redesigning and implementing processes, and leading high-impact...  ...questionable or fraudulent outreach claiming to be from Anduril, please... 
    Claims
    Full time
    Work experience placement
    Immediate start
    Afternoon shift

    Anduril Industries

    Costa Mesa, CA
    3 days ago
  •  ...Lattice OS, an AI-powered operating system that turns...  ...accelerate the offering process for commercial-off-the...  ...well with others. Excellent written and verbal communication...  ...Demonstrated success leading cross-functional teams...  ...fraudulent outreach claiming to be from Anduril,... 
    Claims
    Hourly pay
    Full time
    Work experience placement
    Immediate start

    Colorwave Inc

    Costa Mesa, CA
    4 days ago
  • $62.67k - $75.21k

     ...responsible for the day-to-day operations and well‑being of the...  ...Operational Excellence Manage territory profit...  ...regulations. Streamline processes for operational excellence. Lead change initiatives and adopt...  ...for worker's compensation claims. Conduct new hire orientations... 
    Process Excellence
    Claims
    Local area
    Weekend work
    Afternoon shift

    TrueBlue

    Costa Mesa, CA
    12 hours ago
  • $138k - $172.5k

     ...Description As a Healthcare Process Risk Manager, you will...  ...Review operational, financial, and technology...  ...effectiveness. Oversee internal audit outsourcing and co‑sourcing...  ...management. Lead business development activities...  ...integrity, coding, claims processing, billing, reimbursement... 
    Claims
    Work at office
    Local area
    3 days per week

    Grant Thornton

    Newport Beach, CA
    1 day ago
  • $146k - $194k

     ...Lattice OS, an AI-powered operating system that turns...  ...role means you will help lead the business direction...  ...optimizing existing processes, you will be instrumental...  ...Systems & Process Excellence: Serve as a partner to...  ...or fraudulent outreach claiming to be from Anduril, please... 
    Process Excellence
    Claims
    Full time
    Work experience placement
    Immediate start

    Anduril Industries

    Costa Mesa, CA
    1 day ago
  • $138k - $172.5k

     ...As a Healthcare Process Risk Manager, you will have the...  ...may include: Review operational, financial, and...  ...processes. Oversee internal audit outsourcing and co-...  ...relationship management. Lead business development...  ...revenue integrity, coding, claims processing, billing,... 
    Claims
    Internship
    Seasonal work
    Work at office
    Local area
    Flexible hours
    3 days per week

    Grant Thornton

    Newport Beach, CA
    3 days ago
  • $96.6k - $185k

     ...career, KPMG provides audit, tax and advisory services...  ..., rewards innovative excellence and supports our communities...  ...seeking a Procurement Process Manager to join our...  ...aligned to how the function operates including design and...  ..., and userfriendly Lead the end-to-end change... 
    Process Excellence
    H1b
    Local area

    KPMG

    Irvine, CA
    3 days ago
  • $85k - $100k

     ...AvonRisk is the nation's leading specialty risk...  ...Hills, and AS&G Claims Administration, we...  ...a people-focused, operations-driven...  ...expense and vendor processing, and financial reporting...  ...the annual external audit; serve as a primary...  ...staff. • Advanced Excel skills (complex... 
    Claims
    Full time
    Remote work

    GrabJobs

    Santa Ana, CA
    12 hours ago
  •  ...role in lending services. The successful candidate will oversee loan processing efficiency, ensure compliance with policies, and enhance client experience across services. The position requires excellent communication and leadership skills, with a strong understanding of... 
    Process Excellence

    Northern Trust

    Newport Beach, CA
    1 day ago
  •  ...skills will ensure the smooth operation of the office, allowing the...  ...Ensure timely insurance claim submissions and follow up on...  ...standards. ·      Conduct regular audits and ensure compliance with safety...  ...Competencies:   ·      Excellent communication and... 
    Claims
    Work at office
    Local area

    Aava International

    Santa Ana, CA
    5 days ago
  • $112k - $149k

     ...Lattice OS, an AI-powered operating system that turns...  ...company’s needs. If you add excellent people skills,...  ...insurance (both active/new claims and renewal of these...  ...support to streamline processes and roll out new features...  ...platforms) Experience auditing travel transactions... 
    Work experience placement

    Jobr

    Costa Mesa, CA
    3 days ago
  • $16.9 - $24.9 per hour

     ...returns are picked up and credited in a timely manner. Audit customer returns for warranty abuse and makes sure all...  ..., stock, etc., as needed. Assist with customer labor claims, making sure they are processed quickly and efficiently. All other duties as assigned... 
    Claims
    Hourly pay
    Minimum wage
    Local area
    Flexible hours

    O'Reilly Auto Parts

    Midway City, CA
    3 days ago
  • $150k

     ...knowledge, and experiences you need to lead and deliver value at this level...  ...e.g. refer to specific PwC tax and audit guidance) the Firm's code of conduct...  ...you lead large projects, innovate processes, and maintain operational excellence while interacting with clients at a... 
    Process Excellence
    Full time
    Temporary work
    H1b

    PwC

    Irvine, CA
    4 days ago
  • $82.23k - $155.81k

     ...Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical...  ...of Diagnosis Related Group (DRG) paid claims. How you will make an impact: Analyzes...  ...high quality, high value, concept and or process improvement and efficiency... 
    Claims
    Full time
    Work at office
    Local area

    Elevance Health

    Costa Mesa, CA
    1 day ago
  •  ...A leading claims adjusting company is seeking Independent Insurance Claims Adjusters in California. This rewarding career path offers flexibility, autonomy, and comprehensive training programs to ensure your success. You'll play a vital role in helping clients recover... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Westminster, CA
    1 day ago
  • $150k - $165k

     ...accuracy, compliance, and operational efficiency. Essential...  ...and forecasting processes for individual properties...  ...policy review, renewals, claims coordination, risk...  ...insurance advisors Support audits, tax filings, cash...  ...Yardi preferred) Advanced Excel and financial modeling... 
    Claims
    Work at office

    Boardwalk IG Management LLC

    Costa Mesa, CA
    3 days ago
  • $107.8k - $154k

     ...intelligence to reimagine processes, programs, and...  ...closely with Customer Care operations and cross‑functional...  ...Strategy & Transformation Lead development and...  ...Optimization & Operational Excellence Partner with Customer...  ...services, assistance with claim and billing issues,... 
    Process Excellence
    Claims
    Temporary work
    Work at office
    Local area

    Exemplis Corporation

    Cypress, CA
    1 day ago
  • $124k - $335k

     ...teams, and your commitment to excellence, contributes to the...  ...and experiences you need to lead and deliver value at this...  ...refer to specific PwC tax and audit guidance), the Firm's code...  ...large projects, innovate processes, and maintain operational excellence while... 
    Process Excellence
    Full time
    H1b

    PwC

    Irvine, CA
    2 days ago
  •  ...the largest multi‑unit operators in the Club Pilates...  ...grounded in operational excellence, brand consistency, and...  ...building scalable processes, navigating multi‑state...  ...Coordinate annual 401(k) audit activities, including...  ...benefits questions and claims issues Partner with... 
    Claims
    Minimum wage
    Temporary work
    Local area

    Riser Fitness, LLC

    Costa Mesa, CA
    3 days ago
  • $99k - $130k

     ...Lattice OS, an AI-powered operating system that turns...  ...framework, and documented to audit-ready standards. This...  ...under ASC 805. Lead the annual impairment assessments...  ...'s month-end close process, primarily assisting...  ...or fraudulent outreach claiming to be from Anduril, please... 
    Claims
    Full time
    Contract work
    Work experience placement
    Immediate start

    anduril

    Costa Mesa, CA
    4 days ago
  •  ...Evaluate provisions for known claims and exposures with...  ...Year Business Planning process, including...  ...controls. Advance and lead finance initiatives supporting...  ...Maintain, update, and audit the Southwest business...  ...deadlines. Advanced Microsoft Excel skills managing large... 
    Claims
    Work at office

    DPR Construction

    Newport Beach, CA
    3 days ago
  • $129k - $171k

     ...by Lattice OS, an AI-powered operating system that turns thousands of...  ...quarterly and year-end audits and financial reporting (ASC...  ...secondary sale, tender offer, or IPO process Certified Equity...  ...questionable or fraudulent outreach claiming to be from Anduril, please report... 
    Claims
    Full time
    Work experience placement
    Immediate start
    Remote work

    anduril

    Costa Mesa, CA
    1 day ago
  • BF Construction Inc is seeking a Construction Operations Manager in Westminster, California. The role requires overseeing multiple commercial construction projects, ensuring efficient operations from preconstruction to closeout. Ideal candidates enjoy fast-paced environments... 

    BF Construction Inc

    Westminster, CA
    12 hours ago
  •  ...responsible for overseeing business and clinical activities. The role requires collaboration with clinical directors to enhance operational efficiency and patient care. Candidates should have a Bachelor’s degree in a relevant field, experience in dentistry, and strong... 
    Work at office

    AltaMed Health Services

    Huntington Beach, CA
    3 days ago
  • A prominent insurance adjusting firm is seeking Independent Insurance Claims Adjusters in Costa Mesa, California. This opportunity offers flexibility and autonomy while helping clients recover from unforeseen events. Candidates should be licensed and capable of managing... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Costa Mesa, CA
    1 day ago
  • A leading claims adjusting company is seeking Independent Insurance Claims Adjusters in California. This rewarding career path offers flexibility, autonomy, and comprehensive training programs to ensure your success. You'll play a vital role in helping clients recover... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Westminster, CA
    1 day ago
  • $131.91k - $224.14k

    Northern Trust Corp is looking for a Manager in Business Process Management in Newport Beach, California. This role entails overseeing...  ...lending services, managing loan processing efficiency, and ensuring excellent client experience. The successful candidate will demonstrate... 

    Northern Trust Corp

    Newport Beach, CA
    2 days ago
  • $140k - $160k

     ...Materials (FBM) is a leading construction materials...  ...are committed to operational excellence, innovation, and employee...  ..., insurance, claims administration, analytics...  ...Support contract review processes by evaluating insurance...  ...necessary to support audits, regulatory inquiries... 
    Claims
    Full time
    Contract work
    For contractors
    Work at office
    Local area
    Flexible hours

    Foundation Building Materials

    Santa Ana, CA
    3 days ago
  • $190k

     ...Lewis Brisbois is a recognized leader in insurance coverage and claims. Our Insurance Coverage Practice focuses on interpreting...  ...working with developing talented attorneys who come to us with excellent skills in any litigation arena. If you have substantive litigation... 
    Claims
    Work at office

    Lewis Brisbois

    Costa Mesa, CA
    2 days ago
  •  ...Position Title: Claims Supervisor Department...  ...play a pivotal role in leading and collaborating with...  ...reports, and streamline processes. You'll make impactful...  ...-written Obtain audit results meets or exceeds...  ...Alignment Athens operations involve handling... 
    Claims
    Traineeship
    Work at office
    Immediate start
    Remote work
    Monday to Friday
    Flexible hours
    Night shift
    1 day per week

    Athens Administrators

    Huntington Beach, CA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Claims Operations Lead - Audit & Process Excellence. Be the first to apply!